Customer Account Information Form

Last Name
First Name
Middle Name
Gender
Date of Birth (Month/Day/Year)
Place of Birth (Town/City/Province)
Citizenship
Tel. No. / Mobile No.
Facsimile No.
TIN or SSS / GSIS No.
Name of Employer / Business
Employment Status
Office Tel. No.
Office Address
r Male r Female
r Employed r Retired r Unemployed
r Self-employed r Others ______________
TIN SSS / GSIS No.
Are you a corporate officer or
director of a PSE-listed
company?
Are you an officer or employee
of another Broker / Dealer?
Other Brokers where you have
an account.
1.
2.
CitisecOnline.com, Inc.
2401-B East Tower, Philippine Stock Exchange Centre
Exchange Road, Ortigas Center, Pasig City, 1605 Philippines
Customer Service Hotline (632) 6-333-777 Fax No. (632) 6-363-512
Email Address: helpdesk@citiseconline.com
r Filipino r Resident Foreigner
r Non Resident Foreigner __________________
r Yes r No
If yes, specify company name ___________________________
r Yes r No
If yes, specify company name and provide a consent letter from
employer. ___________________________________________
r Male r Female
r Employed r Retired r Unemployed
r Self-employed r Others ______________
TIN SSS / GSIS No.
1.
2.
r Yes r No
If yes, specify company name ___________________________
r Yes r No
If yes, specify company name and provide a consent letter from
employer. ___________________________________________
COL FINANCIAL GROUP, INC.
2401-B East Tower, Philippine Stock Exchange Centre
Exchange Road, Ortigas Center, Pasig City, 1605 Philippines
Customer Service Hotline +632 651 5888 Fax No. +632 636 3512
Email Address: helpdesk@colfinancial.com
PERSONAL INFORMATION PRIMARY ACCOUNT HOLDER SECONDARY ACCOUNT HOLDER
ADDITIONAL INFORMATION PRIMARY ACCOUNT HOLDER SECONDARY ACCOUNT HOLDER
DISCLOSURES PRIMARY ACCOUNT HOLDER SECONDARY ACCOUNT HOLDER
Email Address
Civil Status
Residential Address
r Single r Separated
r Married r Widowed
r Single r Separated
r Married r Widowed
Name of Spouse (if applicable)
(SPECIFY NATIONALITY)
r Filipino r Resident Foreigner
r Non Resident Foreigner __________________
(SPECIFY NATIONALITY)
Please fill up clearly in BLOCK LETTERS and affix signature(s).
(Please select one)
INDIVIDUAL JOINT OR OTHERS_____________________
ACCOUNT NO. ____________________
CASH MARGIN
Do you have an existing COL
account? If yes, please
indicate account number.
1.
2.
1.
2.
PSE Trading Participant; SIPF and SCCP Member
On February 1, 2007, the Securities and Exchange Commission granted COL Financial Group, Inc. (formerly CitisecOnline.com, Inc.)
(COL) exemptive relief from SRC Rule 30.2-2 and SRC Rule 52.1-8. Hence, all confirmation invoices, monthly statement of account
and all other communications shall be sent via electronic mail to customers email address.
CUSTOMER BANK ACCOUNT DETAILS
Bank Account Name
Bank Name
Bank Account Number
Bank Address
APPLICATION REQUIREMENTS
FOR COLS USE ONLY
Processed By: Approved By:
I/We confirm that all the information given in this CAIF are true and correct. COL is hereby authorized to verify the same from
whatever sources it may consider appropriate. Any misrepresentation made on the submitted documents is sufficient ground for
legal action against me/us and the rejection of this application. Should this application be denied, COL has no obligation on its part
to furnish the reason for such rejection.
Signature(s)
Primary Account Holder Date

Secondary Account Holder Date

Assets
Net Worth
Annual Income
Source(s) of Income
Investment Experience
A. BASIC REQUIREMENTS:
1. Minimum cash/check deposit payable to COL Financial Group, Inc. for opening of the following accounts:
COL Starter Account - Php 5,000; and
COL Plus Account - Php 25,000;
2. Photocopy of one (1) identity document issued by the Philippine Government e.g. passport, drivers license, SSS/GSIS ID,
Professional Regulation Commission (PRC) ID, and Comelec Voters ID. (Please present original for verification);
3. Two (2) copies of Specimen Signature Cards; and
4. Online Securities Trading Agreement duly signed.
B. ADDITIONAL REQUIREMENTS FOR THE FOLLOWING:
1. Without face-to-face opening of account - a latest copy of any of the following documents must be submitted:
Public Utility Bill, Credit Card Statement or Bank Statement.
2 Resident Foreigners - include a photocopy of:
a. Alien certificate of registration (ACR) issued by the Bureau of Immigration; OR
b. A Certification to engage in business or working permit issued by the Department of Labor & Employment (DOLE).
3. Non-Resident Foreigners - include the following:
a. Proof of Income certified by Employer; AND
b. Identity Documents authenticated by Philippine Embassy or Consulate.
Salesman/Referred By: Date Opened:
r <500,000 r <1 Million r <5 Million
r <10 Million r Over 10 Million
r <500,000 r <1 Million r <5 Million
r <10 Million r Over 10 Million
r <500,000 r <1 Million r Over 1 Million
r Salary r Business r Investments
r Retirement r Others _________________
_______
Capital Preservation
_______
Long-term Investment
_______
Growth
_______
Speculation
r None r Limited r Good r Extensive
Investment Objectives
(List 1-4 in order of priority)
r <500,000 r <1 Million r <5 Million
r <10 Million r Over 10 Million
r <500,000 r <1 Million r <5 Million
r <10 Million r Over 10 Million
r Salary r Business r Investments
r Retirement r Others _________________
_______
Capital Preservation
_______
Long-term Investment
_______
Growth
_______
Speculation
ACCOUNT TYPE (Please select one)
r COL STARTER r COL PLUS r COL PREMIUM r PCG r OTHERS_______________________
r <500,000 r <1 Million r Over 1 Million
FINANCIAL &
INVESTMENT PROFILE
PRIMARY ACCOUNT HOLDER SECONDARY ACCOUNT HOLDER
MAILING OF INVOICES, MONTHLY STATEMENT OF ACCOUNT AND OTHER COMMUNICATIONS
r None r Limited r Good r Extensive
PSE Trading Participant; SIPF and SCCP Member
PAGE 1 OF 4
ONLINE SECURITIES TRADING AGREEMENT
I/We (the Client) hereby formalize and confirm the opening of an Online Securities Trading Account (OSTA) with COL FINANCIAL GROUP,
INC.(COL) and agree to be bound by the following terms and conditions:
1. ONLINE BROKERAGE SERVICE
COL, a Securities and Exchange Commission (SEC) licensed broker in securities providing clients with online brokerage services, shall act as
broker for the sale and/or purchase of securities listed in the Philippine Stock Exchange (PSE).
2. COL AS ATTORNEY-IN-FACT
For the purpose of selling, buying, or performing other acts stated herein, Client hereby irrevocably appoints and constitutes COL, its officers,
employees, agents, or successors-in-interest and/or assigns, as the true and lawful attorney-in-fact with full power and authority to execute buy or
sell orders, lend or borrow securities, execute bills of sale, receipts, assignments of all rights, title and interests to the purchaser/s thereof, and to
deliver or accept delivery of the corresponding stock certificates, and to do all other acts which COL may do or cause to be done in accordance
with the powers herein conferred, all of which are hereby deemed ratified in all respects for this purpose. COL shall be entitled to rely on any
instruments, notices and communications which COL believes to have originated from the Client and Client shall be bound thereby.
3. ONLINE SECURITIES TRADING ACCOUNT (OSTA)
Clients OSTA will enable Client to personally execute buying and selling of stocks listed in the PSE via the internet and the electronic facility
services of COL subject to the prevailing rules of the PSE, the regulations of the SEC and other government agencies and the terms and conditions
and limitations provided in this Agreement. Client agrees to place a minimum deposit of PhP25,000.00 for COL Plus Account or PhP5,000.00 for
COL Starter Account.
4. TRADING FEES
In consideration of the foregoing, Client hereby agrees to pay COL the following:
4.1 Commission at the rate of 1/4 of 1% of the amount purchased or sold via the internet. For buy or sell orders executed through a broker over
the phone, the commission rate shall be 1/2 of 1%. In no case, however, shall the commission be less than the amount of PhP20.00 per
executed order. Client acknowledges that the commission rate is set solely by COL and agrees that COL may change the commission
structure at any time upon reasonable notice given;
4.2 Transfer or settlement fees;
4.3 Depository or custodianship fees;
4.4 Transaction fees;
4.5 Documentary stamps tax and stock transaction tax; and
4.6 VAT on commission, and other levies and duties thereon.
5. CONDITIONS PRECEDENT, EFFECTIVITY
Client acknowledges that this Agreement shall be effective upon the occurrence of all of the following conditions:
5.1 Submission of all the forms and other documents requested by COL;
5.2 Deposit of the Minimum Deposit in the OSTA; and
5.3 Approval by COL of the application.
6. ONLINE TRANSACTIONS
6.1 All orders for the purchase or sale of stocks using COLs online services and the OSTA shall be deemed authorized and executed with the
understanding that an actual purchase or sale is intended and that it is Clients obligation prior to any purchase or sale to verify from the OSTA
the stock position and available funds.
6.2 Client hereby agrees that while online orders are usually routed to the stock exchange within seconds from the placing of the orders, certain
orders, at COLs sole discretion, may be subjected to manual review and entry, which may possibly cause delay in the processing of orders.
It is likewise understood that Client shall receive the price at which the order is executed in the stock exchange which may be different from
the price at which the stock is trading at the time of the order and when it is entered into COLs online system.
7. PURCHASE OF STOCKS
7.1 To process orders to purchase stocks, Clients OSTA must have available funds equal to or greater than the purchase price of the stocks
prior to the transaction date. Any order inadvertently accepted and/or executed without sufficient funds in the OSTA shall be subject to
cancellation or liquidation at COLs discretion. Client shall be responsible for all orders, including those which exceed the available funds in
the OSTA.
Customer Account Information Form
Last Name
First Name
Middle Name
Gender
Date of Birth (Month/Day/Year)
Place of Birth (Town/City/Province)
Citizenship
Tel. No. / Mobile No.
Facsimile No.
TIN or SSS / GSIS No.
Name of Employer / Business
Employment Status
Office Tel. No.
Office Address
r Male r Female
r Employed r Retired r Unemployed
r Self-employed r Others ______________
TIN SSS / GSIS No.
Are you a corporate officer or
director of a PSE-listed
company?
Are you an officer or employee
of another Broker / Dealer?
Other Brokers where you have
an account.
1.
2.
r Filipino r Resident Foreigner
r Non Resident Foreigner __________________
r Yes r No
If yes, specify company name ___________________________
r Yes r No
If yes, specify company name and provide a consent letter from
employer. ___________________________________________
r Male r Female
r Employed r Retired r Unemployed
r Self-employed r Others ______________
TIN SSS / GSIS No.
1.
2.
r Yes r No
If yes, specify company name ___________________________
r Yes r No
If yes, specify company name and provide a consent letter from
employer. ___________________________________________
Email Address
Residential Address
Name of Spouse (if applicable)
(SPECIFY NATIONALITY)
r Filipino r Resident Foreigner
r Non Resident Foreigner __________________
(SPECIFY NATIONALITY)
Please fill up clearly in BLOCK LETTERS and affix signature(s).
(Please select one)
INDIVIDUAL JOINT OR OTHERS_____________________
ACCOUNT NO. ____________________
CASH MARGIN
Do you have an existing COL
account? If yes, please
indicate account number.
1.
2.
1.
2.
CitisecOnline.com, Inc.
2401-B East Tower, Philippine Stock Exchange Centre
Exchange Road, Ortigas Center, Pasig City, 1605 Philippines
Customer Service Hotline (632) 6-333-777 Fax No. (632) 6-363-512
Email Address: helpdesk@citiseconline.com
COL FINANCIAL GROUP, INC.
2401-B East Tower, Philippine Stock Exchange Centre
Exchange Road, Ortigas Center, Pasig City, 1605 Philippines
Customer Service Hotline +632 651 5888 Fax No. +632 636 3512
Email Address: helpdesk@colfinancial.com
PSE Trading Participant; SCCP & SIPF Member
Civil Status
r Single r Legally Separated
r Married r Widowed
r Single r Legally Separated
r Married r Widowed
PAGE 2 OF 4
7.2 Upon execution of the purchase, Clients OSTA shall be debited the amount equivalent to the sum of the purchase price and the applicable
commission, plus all other incidental expenses.
7.3 Client hereby agrees that all securities which were purchased shall be lodged by COL with the Philippine Depository and Trust Corporation
and, in the absence of any written instructions to the contrary, securities purchased shall be registered in COLs name as street certificates.
8. NO SHORT SALE OF SECURITIES
Short sale of securities is not allowed and Client hereby agrees not to place any short sale orders. Any short sale inadvertently accepted and/or
executed by the online system without the corresponding stock position in the OSTA shall be subject to cancellation or liquidation at COLs
discretion. Client shall be responsible for all orders, including those which exceed the available stock positions in the OSTA.
9. PAYMENTS AND WITHDRAWALS
9.1 All payments shall be made by cash, checks, bank drafts or telegraphic transfers, which shall either be delivered to COLs office or
deposited and credited to a designated bank account of COL, as the case may be. The OSTA shall not be credited with any deposited funds
until COL receives cleared funds in the amount stated in the deposit form, less bank charges, if any.
9.2 Any request for cash or stock withdrawals from the OSTA shall be made in writing and delivered personally or sent to COLs office by
messenger or by telefax. A request sent by fax to deposit any cash credit with a particular bank of choice indicating therein the name of the
bank and account number shall be subject to COLs approval, provided, that Client shall assume all the risk or loss that may result thereto.
9.3 In case the Client opens a joint account, the Client agrees that: (i) in case of withdrawal of funds, the check shall be made payable to the names
of all account holders; (ii) instructions for joint and accounts should be signed by all account holders; (iii) in case of joint or accounts, while the
instructions of one of the account holders shall bind all other account holders, the primary account holder, as identified in the Clients Customer
Account Information Form, shall be deemed the senior account holder whose instructions shall prevail over any conflicting instructions
received by COL from the other account holder(s); (iv) the Client holds COL free and harmless from any and all losses, damages, costs,
penalties, fines, and taxes incurred as a result of action or inaction taken by COL in response to any instructions given by parties believed by
COL to be authorized or unauthorized to give such instructions; and (v) in case of death of any one of the parties, the surviving party/ies may only
withdraw funds from the OSTA or close the OSTA after submission of the required documentation to COL.
10. DELIVERY OF CERTIFICATES
Without abrogating any of COLs rights under any other provision of this Agreement and subject to any indebtedness Client may have with COL, COL
shall, upon appropriate demand, deliver the fully paid certificates of stock unless such delivery is prevented by circumstances beyond the control
of COL.
11. WARRANTIES
11.1 Client represents and warrants that: (i) Client shall use COLs service only in accordance with the terms and conditions of this Agreement; (ii)
Client shall be the only authorized user of the service under this Agreement; and, (iii) Client shall be solely responsible under any and all
circumstances for the use and confidentiality of the User ID and trading password.
11.2 Client agrees to enter online orders using the Clients own internet software and agrees that all orders entered via the internet are the Clients
sole responsibility and that such orders executed through COL are unsolicited. Client agrees to protect the User ID and trading password and
shall maintain the security of whatever system is used to connect to the internet. Client acknowledges that COL has done everything
reasonable to provide secure transactions over the internet and shall not be responsible for any security failure of the internet.
11.3 Client acknowledges that COL offers various ways of accessing the OSTA, including telephone and online services. Client undertakes to
exert reasonable efforts in using these alternate methods to communicate with COL in the event that Client experiences problems in
communicating with COL.
11.4 Client acknowledges that all content found in COLs website as well as any information contained in any document published or any seminar
given by COL is protected by Philippine law. Client understands that any data access granted by COL is made under the condition that such
data can be used solely for helping Client make personal investment decisions. Any unauthorized selling or sharing of this information,
whether or not for profit, or any use of the same contrary to this provision shall result in the closure of Clients account without prejudice to
Clients liability under contract and law.
11.5 Client is aware that for his convenience and to expedite the processing of the OSTA, COL may coordinate with third-parties for the transmittal
of documents or remittance of funds. Accordingly, Client acknowledges that: (i) it is Clients decision whether or not to avail of said third-party
services; (ii) said third-party service providers may charge fees to be shouldered by the Client; and (iii) said third-parties are not agents of
COL and, as such, COL shall be responsible for such documents/funds only upon COLs actual receipt thereof and shall cease upon
transmittal of the same to the third-party service provider.
12. STOCK QUOTES AND RESEARCH INFORMATION
Client acknowledges that: (i) stock quotes, news and research information which include technical charts and financial data on listed securities
displayed by COL are provided for informational purposes and for personal use only, and (ii) that these data are obtained from sources believed
to be reliable and that COL does not guarantee the accuracy of these quotes and information. Client agrees that COL shall not be responsible for
any loss or damage of whatever nature in connection with any trade made in reliance upon such quotes or information.
13. NO INVESTMENT ADVICE
Client hereby acknowledges that COL will not provide legal, tax, or accounting advice or advice regarding the suitability or profitability of a security
or investment. Client likewise acknowledges that COLs employees are not authorized to give any such advice and that Client will not solicit or rely
upon any such advice from COL or any of its employees.
PAGE 3 OF 4
14. LIENS
COL shall have a continuing security interest in all securities and other property held by or through COL or its affiliates, as security for all liabilities
and performance of all obligations to COL. COL may apply or transfer securities and other property interchangeably between accounts in which
Client may have an interest, at any time and without notice given. In the event of a breach or default under this Agreement, COL shall have all rights
and remedies available to a secured creditor under any applicable law, in addition to its rights and remedies under this Agreement.
15. SATISFACTION OF INDEBTEDNESS
Client agrees to satisfy, upon demand, any indebtedness, and to pay any debit balance remaining when the OSTA is closed, either partially or
totally.
16. CONFIRMATIONS AND ACCOUNT STATEMENTS
On February 1, 2007, the SEC granted COL exemptive relief from SRC Rule 30.2- 2 and SRC Rule 52.1-8. Accordingly, COL shall furnish account
statements and confirmations of all executed purchase and sale transactions on the day these are made by means of electronic mail sent to the
email address appearing in COLs records. These shall be binding if no written objection is made no later than 12 noon of the next business day.
Client acknowledges that COL has the right to determine the validity of the objection to any such confirmation of transaction or account statement.
17. DISCLOSURES TO ISSUERS, PSE AND SEC
Client and COL hereby undertake to strictly comply in a timely manner with all their respective disclosure obligations, whether in the form of sworn
statements, notices or otherwise, as required under relevant laws, including, without limitation, Sections 18 and 19 of the Securities Regulation
Code (SRC) or amendments thereto, and its Implementing Rules and Regulations.
Client understands that COL is a regulated entity and consents to the disclosure of Clients information when requested by SEC, other regulatory
entity, the proper courts, and any other government office. Client further understands that listed companies may request for information regarding
their respective stockholders and Client consents to the release of such data.
18. ASSUMPTION OF RISKS
18.1 Client agrees to fully accept the risk for all of the online orders entered and the trading decisions attendant thereto. Client acknowledges that
entering an order with COL, whether online or otherwise, does not guarantee execution of the order, and agrees therefore that COL shall not
be responsible for any order that is not executed.
18.2 Client shall make own investment judgments and decisions without reliance on COL and shall assume full and exclusive responsibility for all
transactions in the OSTA. Client agrees that COL shall have no liability in connection with any the transactions in and for the OSTA and
investment decisions.
19. LIMITATION OF LIABILITY
19.1 Client hereby acknowledges that COL, its affiliates, directors, officers, employees, and agents shall not be liable for losses resulting from a
cause over which COL or its affiliates or partners do not have direct control including, but not limited to, the failure of electronic or mechanical
equipment or communication lines, telephone or other interconnection problems including the inability to connect with the internet service
provider. Client agrees that COL shall not be responsible for any problems, technical or otherwise, that might prevent Client from entering
orders or prevent COL from executing orders.
19.2 COL, its affiliates, directors, officers, employees, and agents shall not be responsible for any loss, damages, or litigation costs resulting from
any error of fact or judgment, or from action taken or inaction or omission or default by COL, its affiliates, directors, officers, employees, and
agents, or from any consequences whatsoever, save and except where such loss, damage or cost is suffered as a direct result of its gross
negligence or willful misconduct.
19.3 Client agrees not to hold COL, its affiliates, directors, officers, employees, and agents liable whatsoever for losses or damages resulting
from any failure of electronic or mechanical equipment, software or systems malfunction, errors or delays and any and all technical problems
that may arise in the course of providing the online brokerage services. Furthermore, Client hereby agrees that COL may discontinue the
online services provided herein without prior notice.
20. FORTUITOUS EVENTS
COL shall not be, and Client agrees not to hold, COL liable for losses caused directly or indirectly by government restrictions, exchange or market
rulings, suspension or trading, war, strike, or other conditions beyond its control such as fortuitous events.
21. SUCCESSORS
Client hereby agrees that this Agreement and all the terms thereof shall be binding upon the Clients heirs, executors, administrators, personal
representatives, and assigns. This Agreement shall inure to the benefit of COLs present organization and any successor organization, irrespective
of any change or changes at any time in the personnel thereof, for any cause whatsoever.
22. ENTIRE AGREEMENT, WAIVERS, AMENDMENTS
22.1 This Agreement contains the entire understanding and agreement between the Client and COL concerning the subject matter of this Agreement.
Client may not assign the rights and obligations hereunder without first obtaining the prior written consent of COL.
22.2 COL may modify the terms of this Agreement at any time upon notice. The continued use of COLs services following receipt of notice will
constitute Clients acceptance of the amendment. Should Client not accept the modification, Client must notify COL in writing and COL may
then terminate the OSTA. Client, however, shall remain liable for all obligations and liabilities arising from the account up to and until the time
of termination.
PAGE 4 OF 4
23. SEVERABILITY
If any provision of this Agreement is held to be invalid, void, or unenforceable by reason of any law, rule, administrative order, or judicial decision,
that determination shall not affect the validity of the remaining provisions of this Agreement.
24. CAPACITY TO CONTRACT
By signing below, Client hereby represents and warrants full legal capacity and authority to enter into and be bound by this Agreement.
25. NOTICES
25.1 All notices to COL shall be sent to:
2403-B East Tower, Philippine Stock Exchange Centre
Exchange Road, Ortigas Center, Pasig City, 1605 Philippines
25.2 Unless otherwise advised, all notices to the Client shall be sent to:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
26. DISPUTES
In case of any dispute arising from or in connection with this Agreement or its proper interpretation, Client shall first try to resolve the same with COL
amicably and in good faith. Should COL and Client fail to resolve any such dispute within two (2) months from the date of written notice by one party
to the other, Client agrees that the exclusive venue for any suit arising from this Agreement shall be the proper courts of Pasig City, Philippines.
27. COSTS OF COLLECTION
Client authorizes COL to charge the OSTA for any reasonable direct or indirect costs of collection, including but not limited to attorneys fees, court
costs, interest, and other related expenses.
28. APPLICABLE RULES AND REGULATIONS
28.1 All transactions in the OSTA, as executed by COL or its agents, including its subsidiaries and affiliates, shall be subject to the constitution,
rules, regulations, customs and usages of the PSE and its clearinghouse, if any.
28.2 The transactions shall likewise be subject to the provisions of all applicable laws, including the SRC or any amendments thereto, and all
pertinent rules and regulations imposed and administered by the SEC and the PSE, among others.
29. GOVERNING LAW
All matters pertaining to the interpretation and implementation of this Agreement and all disputes arising therefrom shall be exclusively governed by
and construed in accordance with Philippine law.
IN WITNESS WHEREOF, Client hasve hereunto set my/our hand this _______________________________________ in Pasig City, Philippines.
INDIVIDUAL CLIENT/S: CLIENT CORPORATION:
By:
Full Name and Signature (Primary) Full Name and Signature (Authorized Signatory)
Full Name and Signature (Secondary) Full Name and Signature (Authorized Signatory)
v2013.10
ACCOUNT NAME: (Primary Account Holder) (Secondary Account Holder)
POSTAL ADDRESS: (No. & Street, Building, Town/District, City/Province, Postal/Zip Code, Country)
TELEPHONE NO.: TIN: CITIZENSHIP:
IMPORTANT: Certificate will not be issued unless a specimen signature of the stockholder is on file with the transfer agents of the
Company. PLEASE FILL OUT AND SUBMIT TWO (2) COPIES OF THIS SPECIMEN SIGNATURE CARD to COL Financial Group, Inc.
at 2401-B East Tower, Philippine Stock Exchange Centre, Exchange Road, Ortigas Center, Pasig City, 1605 Philippines.
( Please Sign Twice [2X] )
PRIMARY ACCOUNT HOLDER SECONDARY ACCOUNT HOLDER
3
3
3
3
Signature verified by: Signature verified by: Signature verified by: Signature verified by: Signature verified by:
SPECIMEN SIGNATURE CARD
ACCOUNT NO:
ACCOUNT TYPE: (Please check one) Individual Joint Or Others ___________________________________
COL FINANCIAL GROUP, INC.
2401-B East Tower, Philippine Stock Exchange Centre
Exchange Road, Ortigas Center, Pasig City, 1605 Philippines
Customer Service Hotline +632 651 5888 Fax No. +632 636 3512
Email Address: helpdesk@colfinancial.com
PSE Trading Participant; SCCP & SIPF Member
ACCOUNT NAME: (Primary Account Holder) (Secondary Account Holder)
POSTAL ADDRESS: (No. & Street, Building, Town/District, City/Province, Postal/Zip Code, Country)
TELEPHONE NO.: TIN: CITIZENSHIP:
IMPORTANT: Certificate will not be issued unless a specimen signature of the stockholder is on file with the transfer agents of the
Company. PLEASE FILL OUT AND SUBMIT TWO (2) COPIES OF THIS SPECIMEN SIGNATURE CARD to COL Financial Group, Inc.
at 2401-B East Tower, Philippine Stock Exchange Centre, Exchange Road, Ortigas Center, Pasig City, 1605 Philippines.
( Please Sign Twice [2X] )
PRIMARY ACCOUNT HOLDER SECONDARY ACCOUNT HOLDER
3
3
3
3
Signature verified by: Signature verified by: Signature verified by: Signature verified by: Signature verified by:
SPECIMEN SIGNATURE CARD
ACCOUNT NO:
ACCOUNT TYPE: (Please check one) Individual Joint Or Others ___________________________________
COL FINANCIAL GROUP, INC.
2401-B East Tower, Philippine Stock Exchange Centre
Exchange Road, Ortigas Center, Pasig City, 1605 Philippines
Customer Service Hotline +632 651 5888 Fax No. +632 636 3512
Email Address: helpdesk@colfinancial.com
PSE Trading Participant; SCCP & SIPF Member